Blood Sugar Over 200: What to Do?

Did you know that more than 37 million Americans have diabetes, and 1 in 5 of them don’t even know they have it? When blood sugar levels rise above 200 mg/dL, it’s a serious condition that requires immediate attention. If left untreated, high blood sugar can lead to severe complications and even be life-threatening. In this comprehensive guide, we’ll explore what causes high blood sugar, the risks associated with it, and most importantly, what you should do if your blood sugar exceeds 200 mg/dL.

Understanding High Blood Sugar

Before diving into the steps to take when your blood sugar is over 200, it’s essential to understand what high blood sugar is and why it occurs.

What is High Blood Sugar?

High blood sugar, also known as hyperglycemia, is a condition in which there is an excessive amount of glucose (sugar) in the bloodstream. In people with diabetes, this occurs when the body doesn’t produce enough insulin or can’t effectively use the insulin it does produce to regulate blood sugar levels.

Causes of High Blood Sugar

Several factors can contribute to high blood sugar, including:

• Eating too many carbohydrates
• Not taking enough insulin or diabetes medication
• Being sick or stressed
• Engaging in less physical activity than usual
• Taking certain medications, such as steroids

Risks of High Blood Sugar

When blood sugar levels remain high for an extended period, it can lead to serious health complications, such as:

• Cardiovascular disease
• Nerve damage (neuropathy)
• Kidney damage (nephropathy)
• Eye damage (retinopathy)
• Increased risk of infections
• Diabetic ketoacidosis (DKA), a life-threatening condition

Symptoms of High Blood Sugar

It’s crucial to recognize the signs and symptoms of high blood sugar, which may include:

• Frequent urination
• Increased thirst
• Blurred vision
• Fatigue
• Headaches
• Difficulty concentrating
• Slow-healing wounds

Immediate Action

If your blood sugar is over 200 mg/dL, it’s essential to take immediate action to bring it back within a safe range.

Check Your Blood Sugar

First, confirm that your blood sugar is indeed over 200 mg/dL by using a reliable glucose meter. If you don’t have a meter, contact your healthcare provider or visit an urgent care center or emergency room to have your blood sugar checked.

Hydrate

Drink plenty of water to help flush out excess sugar from your bloodstream. Aim for at least 8 ounces of water every hour until your blood sugar levels stabilize.

Take Insulin (if applicable)

If you take insulin, follow your doctor’s instructions for administering a correction dose to lower your blood sugar. Be sure to monitor your blood sugar levels closely and adjust your insulin doses as needed.

Monitor Your Symptoms

Keep a close eye on your symptoms and watch for signs of diabetic ketoacidosis (DKA), such as:

• Fruity-smelling breath
• Nausea and vomiting
• Shortness of breath
• Confusion
• Abdominal pain

If you experience any of these symptoms, seek medical attention immediately.

Seeking Medical Attention

While you can often manage high blood sugar at home, there are times when it’s necessary to seek medical attention.

When to Call Your Doctor

Contact your healthcare provider if:

• Your blood sugar remains above 200 mg/dL despite taking corrective measures
• You experience frequent episodes of high blood sugar
• You have concerns about adjusting your medication or insulin doses

Urgent Care or Emergency Room

Go to an urgent care center or emergency room if:

• Your blood sugar is consistently above 300 mg/dL
• You have symptoms of DKA
• You’re experiencing severe symptoms, such as confusion or difficulty breathing

Long-Term Management

In addition to taking immediate action when your blood sugar is over 200 mg/dL, it’s crucial to adopt long-term management strategies to prevent future episodes of hyperglycemia.

Diet and Exercise

Eating a balanced, low-carbohydrate diet and engaging in regular physical activity can help keep your blood sugar levels in check. Work with a registered dietitian or diabetes educator to develop a meal plan that suits your needs and preferences.

Medication

Take your diabetes medications as prescribed by your doctor. If you’re having trouble managing your blood sugar levels, talk to your healthcare provider about adjusting your medication or insulin regimen.

Regular Blood Sugar Monitoring

Regularly monitoring your blood sugar levels can help you identify patterns and make necessary adjustments to your diet, exercise, and medication. Keep a log of your blood sugar readings and share it with your healthcare team.

Lifestyle Changes

Making healthy lifestyle changes can go a long way in managing your blood sugar levels. Some key changes include:

• Quitting smoking
• Limiting alcohol consumption
• Managing stress through relaxation techniques, such as deep breathing or meditation
• Maintaining a healthy weight

Stress Management

Stress can cause blood sugar levels to rise, so it’s essential to find healthy ways to manage stress. Consider incorporating stress-reducing activities into your daily routine, such as yoga, meditation, or spending time in nature.

Sleep

Getting enough quality sleep is crucial for overall health and can help regulate blood sugar levels. Aim for 7-9 hours of sleep per night and establish a consistent sleep schedule.

Support Groups

Joining a diabetes support group can provide valuable emotional support and practical advice for managing your condition. Connect with others who understand the challenges of living with diabetes and learn from their experiences.

Prevention

Preventing episodes of high blood sugar is key to avoiding long-term complications and maintaining overall health.

Healthy Lifestyle Habits

Adopting healthy lifestyle habits, such as eating a balanced diet, exercising regularly, and managing stress, can help prevent high blood sugar episodes.

Regular Checkups

Schedule regular checkups with your healthcare provider to monitor your diabetes and adjust your treatment plan as needed. Be sure to attend all recommended screenings, such as eye exams and foot checks.

Understanding Your Risk Factors

Knowing your risk factors for developing diabetes or experiencing high blood sugar episodes can help you take proactive steps to prevent them. Some risk factors include:

• Family history of diabetes
• Being overweight or obese
• Physical inactivity
• High blood pressure
• High cholesterol

Resources

For more information and support, consider reaching out to the following resources:

American Diabetes Association

The American Diabetes Association (ADA) offers a wealth of information, resources, and support for people living with diabetes. Visit their website at diabetes.org or call 1-800-DIABETES (1-800-342-2383).

National Institute of Diabetes and Digestive and Kidney Diseases

The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) provides research-based information on diabetes prevention and management. Visit their website at niddk.nih.gov or call 1-800-860-8747.

Key Takeaways

• High blood sugar (hyperglycemia) occurs when there is too much glucose in the bloodstream.
• Blood sugar levels over 200 mg/dL require immediate action, including checking blood sugar, hydrating, taking insulin (if applicable), and monitoring symptoms.
• Seek medical attention if blood sugar remains high despite corrective measures or if you experience symptoms of DKA.
• Long-term management strategies include a balanced diet, regular exercise, medication, blood sugar monitoring, lifestyle changes, stress management, and adequate sleep.
• Prevent high blood sugar episodes by adopting healthy lifestyle habits, attending regular checkups, and understanding your risk factors.
• Reach out to resources like the ADA and NIDDK for information and support.

By understanding what causes high blood sugar, recognizing the symptoms, and knowing what steps to take when your blood sugar is over 200 mg/dL, you can effectively manage your diabetes and prevent serious complications. Remember, you are not alone in this journey. Work closely with your healthcare team, lean on your support network, and prioritize your health and well-being.